www.wilfobs.com
WIL
WILFOBS INVESTMENTS
131 AWOLOWO WAY, SUITE 27. ALAUSA, IKEJA, LAGOS
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NEW ACCOUNT REGISTRATION FORM
(Please strike off the non-applicable portions)
Date: D
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Chairman/ Managing Director Branch Dear Sir/Madam, I/We are applying to register a new account with Wilfobs Investiments. My/our detailed information are given below (please use ALL CAP): Account type FX TRADING
Buy
MONTHLY INVESTMENT
Sell
Deposit Amount
Deposit Amount
Personal Information Account Holder’s Name
Male
Gender
Female
Date of Birth D
D
M
Place of Birth
Residence Status
Nationality
Marital Status
M
Y
Y
Resident
Y
Y
Non-Resident
National ID No. Passport No.
TIN No.
Driving Licence No.
ID No.
Other ID type (In case National ID/Passport is not available) Present Address (Residence)
City
State
Mobile No
Zip Code Mobile (2)
Country Office
Correspondence Address
City
State
Mobile No
Zip Code Mobile(2)
COMPLETE NEXT PAGE
Country Office
www.wilfobs.com
All Signatures Required Date: D
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Registration Checklist
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Completed Registration Form Introducer Photograph - Applicant (1 copy passport size duly attested by Introducer) Copy of valid National ID/ Passport/ Driving Licence/other Others ............................................................. (please specify, e.g. Employer ID)
Residence Address verified by
Utility Bill
Others ................................................ (please specify)
Signature ...............................................................................
Signature ...............................................................................
Name ......................................................................................
Name ......................................................................................
Designation ..........................................................................
Designation ........................................................................
TERMS & CONDITIONS 1.
i/we have read and understood the Terms and Conditions ( a copy of which I am in possession of ) also hosted at www.wilfobs.com governing the opeining of an account with Wilfobs Investments and those relating to various channel services.
2.
i/We accept and agree to bound by the said Terms and Conditions including those excluding/limiting the firms liability. I/We authorise the applicant to access account(s) via the channels select and authorise Wilfobs Investments to link new accounts opened by the applicant to the channels selected. I/we hereby declare that the above mentioned information are all correct and shall provide any further information that is required. I/we hereby also acknowledge that I/we have read, understood and agreed to the terms and conditions as indicated above with Wilfobs Investments.
Signature of Applicant(s) Signature of Applicant(s) Specimen Signature (Withdrawal must be made with this signature)
Signature Name ..................................................... Telephone No. ....................................... E-mail ..................................................... Date ........................................................
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